Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

DR. JOHN JOSEPH ILLUMINATI DDS
NPI 1225216278
Dentist - General Practice in Portland, ME

Q: What is John Illuminati's NPI number?

The NPI number for John Illuminati is 1225216278. It was assigned to this individual provider in the NPPES registry on February 1, 2008.

Q: What is John Illuminati's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for John Illuminati was last updated on July 1, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since February 01, 2008PECOS Enrolled

1 COLLEGE ST, PORTLAND, ME 04103(207) 221-4747 Get Directions Write a Review

NPPES record last updated: July 1, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Dr. John Joseph Illuminati Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JOHN JOSEPH ILLUMINATI DDS (NPI 1225216278) is an individual general practice provider in Portland, Maine, licensed in Maine (DEN2953) and active in the NPI registry since February 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1225216278

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. JOHN JOSEPH ILLUMINATICredential: DDS

Location Address1 COLLEGE STPortland, ME 04103-2617

Mailing Address219 Bluff RdYarmouth, ME 04096-7305 · (207) 831-2155

Phone(207) 221-4747

Sole ProprietorYes

Enumeration DateFebruary 1, 2008

Last NPPES UpdateJuly 1, 2026

NPPES CertifiedJuly 1, 2026

✔ NPI 1225216278 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in ME · DEN2953

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

1 COLLEGE ST, Portland, ME 04103

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. John Joseph Illuminati Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04103 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$86.72 typical visit price

range $56.28 – $169.96

Typical copayment $21.68 (range $14.07 – $42.49)

Most-billed visit code 99203

Established Patient

$70.13 typical visit price

range $18.22 – $138.92

Typical copayment $17.53 (range $4.55 – $34.73)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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